US20090192240A1 - Dental composite material - Google Patents
Dental composite material Download PDFInfo
- Publication number
- US20090192240A1 US20090192240A1 US12/021,407 US2140708A US2009192240A1 US 20090192240 A1 US20090192240 A1 US 20090192240A1 US 2140708 A US2140708 A US 2140708A US 2009192240 A1 US2009192240 A1 US 2009192240A1
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- US
- United States
- Prior art keywords
- composite material
- dental composite
- material according
- acrylate
- core
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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- 239000000463 material Substances 0.000 title claims abstract description 41
- 239000011350 dental composite resin Substances 0.000 title claims abstract description 28
- 239000002245 particle Substances 0.000 claims abstract description 24
- 239000011258 core-shell material Substances 0.000 claims abstract description 19
- 150000001875 compounds Chemical class 0.000 claims abstract description 14
- 229920000642 polymer Polymers 0.000 claims abstract description 13
- 238000006116 polymerization reaction Methods 0.000 claims description 19
- NIXOWILDQLNWCW-UHFFFAOYSA-M Acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 claims description 16
- 239000000203 mixture Substances 0.000 claims description 12
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 11
- 239000002131 composite material Substances 0.000 claims description 10
- 239000003999 initiator Substances 0.000 claims description 9
- 150000001412 amines Chemical class 0.000 claims description 6
- 239000000178 monomer Substances 0.000 claims description 6
- AMFGWXWBFGVCKG-UHFFFAOYSA-N Panavia opaque Chemical compound C1=CC(OCC(O)COC(=O)C(=C)C)=CC=C1C(C)(C)C1=CC=C(OCC(O)COC(=O)C(C)=C)C=C1 AMFGWXWBFGVCKG-UHFFFAOYSA-N 0.000 claims description 5
- 239000003054 catalyst Substances 0.000 claims description 5
- 229920003229 poly(methyl methacrylate) Polymers 0.000 claims description 5
- 239000004926 polymethyl methacrylate Substances 0.000 claims description 5
- 239000004593 Epoxy Substances 0.000 claims description 4
- CERQOIWHTDAKMF-UHFFFAOYSA-M Methacrylate Chemical compound CC(=C)C([O-])=O CERQOIWHTDAKMF-UHFFFAOYSA-M 0.000 claims description 4
- PPBRXRYQALVLMV-UHFFFAOYSA-N Styrene Chemical compound C=CC1=CC=CC=C1 PPBRXRYQALVLMV-UHFFFAOYSA-N 0.000 claims description 4
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 claims description 4
- MCMNRKCIXSYSNV-UHFFFAOYSA-N Zirconium dioxide Chemical compound O=[Zr]=O MCMNRKCIXSYSNV-UHFFFAOYSA-N 0.000 claims description 4
- 229910052681 coesite Inorganic materials 0.000 claims description 4
- 229910052906 cristobalite Inorganic materials 0.000 claims description 4
- MTHSVFCYNBDYFN-UHFFFAOYSA-N diethylene glycol Chemical compound OCCOCCO MTHSVFCYNBDYFN-UHFFFAOYSA-N 0.000 claims description 4
- GHLKSLMMWAKNBM-UHFFFAOYSA-N dodecane-1,12-diol Chemical compound OCCCCCCCCCCCCO GHLKSLMMWAKNBM-UHFFFAOYSA-N 0.000 claims description 4
- LYCAIKOWRPUZTN-UHFFFAOYSA-N ethylene glycol Natural products OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 claims description 4
- 125000000524 functional group Chemical group 0.000 claims description 4
- 229920001296 polysiloxane Polymers 0.000 claims description 4
- 239000000377 silicon dioxide Substances 0.000 claims description 4
- 229910052682 stishovite Inorganic materials 0.000 claims description 4
- 229910052905 tridymite Inorganic materials 0.000 claims description 4
- 238000004519 manufacturing process Methods 0.000 claims description 3
- 239000003505 polymerization initiator Substances 0.000 claims description 3
- 239000005062 Polybutadiene Substances 0.000 claims description 2
- ZJCCRDAZUWHFQH-UHFFFAOYSA-N Trimethylolpropane Chemical compound CCC(CO)(CO)CO ZJCCRDAZUWHFQH-UHFFFAOYSA-N 0.000 claims description 2
- PNEYBMLMFCGWSK-UHFFFAOYSA-N aluminium oxide Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 claims description 2
- CDQSJQSWAWPGKG-UHFFFAOYSA-N butane-1,1-diol Chemical compound CCCC(O)O CDQSJQSWAWPGKG-UHFFFAOYSA-N 0.000 claims description 2
- 229920001577 copolymer Polymers 0.000 claims description 2
- 229910052593 corundum Inorganic materials 0.000 claims description 2
- INSRQEMEVAMETL-UHFFFAOYSA-N decane-1,1-diol Chemical compound CCCCCCCCCC(O)O INSRQEMEVAMETL-UHFFFAOYSA-N 0.000 claims description 2
- FOTKYAAJKYLFFN-UHFFFAOYSA-N decane-1,10-diol Chemical compound OCCCCCCCCCCO FOTKYAAJKYLFFN-UHFFFAOYSA-N 0.000 claims description 2
- MKVYSRNJLWTVIK-UHFFFAOYSA-N ethyl carbamate;2-methylprop-2-enoic acid Chemical compound CCOC(N)=O.CC(=C)C(O)=O.CC(=C)C(O)=O MKVYSRNJLWTVIK-UHFFFAOYSA-N 0.000 claims description 2
- WXZMFSXDPGVJKK-UHFFFAOYSA-N pentaerythritol Chemical compound OCC(CO)(CO)CO WXZMFSXDPGVJKK-UHFFFAOYSA-N 0.000 claims description 2
- 229920001485 poly(butyl acrylate) polymer Polymers 0.000 claims description 2
- 229920002857 polybutadiene Polymers 0.000 claims description 2
- 239000001294 propane Substances 0.000 claims description 2
- 229920003048 styrene butadiene rubber Polymers 0.000 claims description 2
- 229910001845 yogo sapphire Inorganic materials 0.000 claims description 2
- 150000001735 carboxylic acids Chemical class 0.000 claims 2
- 238000013329 compounding Methods 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 6
- 239000011521 glass Substances 0.000 description 7
- 239000000945 filler Substances 0.000 description 6
- 239000002105 nanoparticle Substances 0.000 description 6
- OMPJBNCRMGITSC-UHFFFAOYSA-N Benzoylperoxide Chemical compound C=1C=CC=CC=1C(=O)OOC(=O)C1=CC=CC=C1 OMPJBNCRMGITSC-UHFFFAOYSA-N 0.000 description 4
- 235000019400 benzoyl peroxide Nutrition 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 230000001055 chewing effect Effects 0.000 description 3
- 230000001698 pyrogenic effect Effects 0.000 description 3
- RMAQACBXLXPBSY-UHFFFAOYSA-N silicic acid Chemical compound O[Si](O)(O)O RMAQACBXLXPBSY-UHFFFAOYSA-N 0.000 description 3
- 235000012239 silicon dioxide Nutrition 0.000 description 3
- 229910002012 Aerosil® Inorganic materials 0.000 description 2
- 239000004322 Butylated hydroxytoluene Substances 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 2
- 229920004482 WACKER® Polymers 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- 238000013459 approach Methods 0.000 description 2
- 229940095259 butylated hydroxytoluene Drugs 0.000 description 2
- 235000010354 butylated hydroxytoluene Nutrition 0.000 description 2
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 2
- 150000002148 esters Chemical class 0.000 description 2
- 238000010348 incorporation Methods 0.000 description 2
- 239000003112 inhibitor Substances 0.000 description 2
- 150000002978 peroxides Chemical class 0.000 description 2
- 239000003381 stabilizer Substances 0.000 description 2
- VNQXSTWCDUXYEZ-UHFFFAOYSA-N 1,7,7-trimethylbicyclo[2.2.1]heptane-2,3-dione Chemical compound C1CC2(C)C(=O)C(=O)C1C2(C)C VNQXSTWCDUXYEZ-UHFFFAOYSA-N 0.000 description 1
- JUVSRZCUMWZBFK-UHFFFAOYSA-N 2-[n-(2-hydroxyethyl)-4-methylanilino]ethanol Chemical compound CC1=CC=C(N(CCO)CCO)C=C1 JUVSRZCUMWZBFK-UHFFFAOYSA-N 0.000 description 1
- -1 Benzoin alkyl ethers Chemical class 0.000 description 1
- YIVJZNGAASQVEM-UHFFFAOYSA-N Lauroyl peroxide Chemical compound CCCCCCCCCCCC(=O)OOC(=O)CCCCCCCCCCC YIVJZNGAASQVEM-UHFFFAOYSA-N 0.000 description 1
- 235000000126 Styrax benzoin Nutrition 0.000 description 1
- 244000028419 Styrax benzoin Species 0.000 description 1
- 235000008411 Sumatra benzointree Nutrition 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 239000012790 adhesive layer Substances 0.000 description 1
- 229960002130 benzoin Drugs 0.000 description 1
- 229930006711 bornane-2,3-dione Natural products 0.000 description 1
- 239000003638 chemical reducing agent Substances 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- ISAOCJYIOMOJEB-UHFFFAOYSA-N desyl alcohol Natural products C=1C=CC=CC=1C(O)C(=O)C1=CC=CC=C1 ISAOCJYIOMOJEB-UHFFFAOYSA-N 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000009969 flowable effect Effects 0.000 description 1
- 235000019382 gum benzoic Nutrition 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 150000002734 metacrylic acid derivatives Chemical class 0.000 description 1
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000004445 quantitative analysis Methods 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K6/00—Preparations for dentistry
- A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
- A61K6/884—Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
- A61K6/891—Compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
- A61K6/896—Polyorganosilicon compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K6/00—Preparations for dentistry
- A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
- A61K6/884—Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
- A61K6/887—Compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K6/00—Preparations for dentistry
- A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
- A61K6/884—Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
- A61K6/891—Compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
- A61K6/893—Polyurethanes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2400/00—Materials characterised by their function or physical properties
- A61L2400/12—Nanosized materials, e.g. nanofibres, nanoparticles, nanowires, nanotubes; Nanostructured surfaces
Definitions
- the present invention relates to the technical field of dental restoration, in particular to dental composite materials for bulk fillings.
- filling materials are routinely incorporated (such as e.g. dental glass or pyrogenic silicic acid). Such filling materials do not shrink and thus reduce the overall volume shrinkage of the dental composite material.
- a hardenable dental composite material according to the invention comprises:
- the filling material according to the invention comprises core-shell particles according to lit. ii), above. It has been surprisingly found that the incorporation of such core-shell particles into filled composite filling materials results in significantly improved performance in premolar and molar teeth.
- Suitable core-shell particles according to lit. ii), above, are known as such and are disclosed e.g. in WO 2005/055961 A1 (incorporated herein by reference with respect to the composition and methods of manufacture of the core-shell polymer particles).
- core-shell polymer particles according to lit. ii), above have never been suggested in combination with non-agglomerated nanofillers according to lit. i), above, in order to compensate for the otherwise too high modulus of elasticity in molar and premolar applications.
- the dental composite material preferably has a modulus of elasticity in the hardened state in the range of 6 GPa to 10 GPa, preferably in the range of 7.0 GPa to 9.5 GPa, most preferably in the range of 7.5 GPa to 9 . 0 GPa.
- Such overall modules of elasticity in the hardened state have been found to be particularly suitable for bulk filling restorations of molar and premolar teeth with compositions according to the present invention.
- the dental composite material exhibits a polymerization shrinkage of ⁇ 3.0% by volume, preferably of ⁇ 2.5% by volume, most preferably of ⁇ 2.4% by volume.
- dental composite materials with such low percentages of volume shrinkage upon polymerization were available as such in the prior art, but nevertheless were not ideally suitable for restoration of molar and premolar teeth in the bulk filling technique.
- the core compound of the core-shell polymer particles comprises a material selected from the group consisting of silicone; polyalkyl acrylate, preferably polybutyl acrylate; polybutadiene; styrene butadiene copolymers; and mixtures thereof.
- the shell compound of the core-shell polymer particles comprises a material selected from the group consisting of polyalkyl methacrylate (preferably polymethyl methacrylate), optionally comprising functional groups selected from the group consisting of epoxy, carboxylic acid, amine; copolymers of polyalkyl methacrylate (preferably polymethyl methacrylate) with styrene, optionally comprising functional groups selected from the group consisting of epoxy, carboxylic acid, amine.
- core-shell particles comprising a polymethyl methacrylate shell and a silicone core, such as commercially available under the trademark GENIOPERL®, e.g. GENIOPERL® P22 (Wacker-Chemie GmbH, WACKER SILICONES, Ober Del.).
- GENIOPERL® e.g. GENIOPERL® P22 (Wacker-Chemie GmbH, WACKER SILICONES, Ober Del.).
- the core-shell particles are incorporated into the dental composite material at about 0.1% by weight to about 10% by weight, preferably about 1% by weight to about 8% by weight, most preferably about 1% by weight to about 6% by weight of the core-shell polymer particles.
- the composite material comprises a polymerizable matrix of ethylenically unsaturated monomers, preferably selected from the group consisting of 2,2′-bis-[4-(methacryloxypropoxy)phenyl]-propane (bis-GMA); tri-(ethylene glycol) dimethacrylate (TEGDMA); urethane dimethacrylate (UDMA); diethylene glycol di(meth)acrylate; decanediol di(meth)acrylate; trimethylolpropane tri(meth)acrylate; pentaerythrite tetra(meth)acrylate; butanediol di(meth)acrylate; 1,10-decanediol di(meth)acrylate; 1,12-dodecanediol di(meth)acrylate; and mixtures thereof.
- bis-GMA 2,2′-bis-[4-(methacryloxypropoxy)phenyl]-propane
- TEGDMA tri-(ethylene glyco
- compositions according to the invention may further comprise a polymerization initiator selected from the group consisting of initiators for hot polymerization; photoinitiators; and, preferably, initiators for cold polymerization.
- a polymerization initiator selected from the group consisting of initiators for hot polymerization; photoinitiators; and, preferably, initiators for cold polymerization.
- dual-curing systems may be configured as known in the art.
- Suitable polymerization initiators for any kind of polymerization system are perfectly known to the person of routine skill in the art:
- Peroxides such as e.g. dibenzoyl peroxide
- ⁇ , ⁇ ′-azo-bis(isobutyroethyl ester) can be used as initiators for hot polymerization.
- Benzoin alkyl ethers/esters or camphorquinone can be used as initiators for photopolymerization, preferably together with a reducing agent such as e.g. an amine.
- Peroxides such as dibenzoyl peroxide or lauroyl peroxide
- amines such as e.g. N,N-diethanol-p-toluidine as initiators for cold/dark polymerization.
- cold/dark polymerization is understood as a polymerization that initiates and proceeds in the absence of light and under normal temperature and pressure (NTP) conditions (101′325 Pa and 20° C.).
- NTP normal temperature and pressure
- non-agglomerated nanofillers are or comprise SiO 2 , ZrO 2 , TiO 2 or Al 2 O 3 , and mixtures thereof.
- silica particles predispersed in methacrylates e.g Nanocryl D322, Hanse Chemie AG.
- the non-agglomerated nanofillers are preferably present in an amount of about 0% by weight to about 15% by weight, preferably about 1% by weight to about 12% by weight, most preferably about 3% by weight to about 10% by weight, based on the total weight of the dental composite material.
- the dental composite material is a cold/dark polmyerization material as defined above.
- the present invention is especially advantageous in the context of such cold/dark polymerization materials: Since these materials are provided as two-component compositions (base paste and catalyst paste) that immediately react upon mixing, these two components need to be sufficiently flowable in order to allow for quick and thorough mixing. In order to achieve a low shrinkage upon curing while at the same time assuring acceptable flowability, the size of the fillers had been chosen relatively big in the prior art. As has now been identified as a problem with bulk fillings especially of molar and premolar teeth, this results in an inappropriate, i.e. a too high module of elasticity. The present invention now overcomes this drawback by providing a composition defined above.
- Yet another aspect of the present invention concerns the use of core-shell polymer particles with
- the following dental composite materials have been prepared (amounts given as weight in [g]) and investigated.
- Catalyst paste Base paste Fillers Nanoparticles (1) 7.0 7.1 Pyrogenic silicic acid (2) 2.8 2.8 Dental glass ⁇ 0.7 ⁇ m (silanised) 10.9 10.9 Dental glass ⁇ 1.2 ⁇ m (silanised) 10.9 10.9 Dental glass ⁇ 7.0 ⁇ m (silanised) 55.5 55.0
- Monomers TEGDMA 4.33 4.39 bis-GMA 4.64 4.74 UDMA 3.60 3.64
- Nanoparticles are pre-dispersed in TEGDMA and UDMA in the commercially available product Nanocryl D322.
- the nanoparticles of Nanocryl D322 are listed separately in the above table as fillers, while the TEGDMA and UDMA are listed as monomers.
- Aerosil R812S, Degussa Evonik (3) Inhibitor, Stabilizer
- the catalyst and base paste have been conventionally mixed and the quantitative analysis of the marginal adaptation was determined after a chewing simulation test as outlined in Gbhring et al., American Journal of Dentistry, Vol. 16, No. 4 (2003), p. 275-282 (mixed class II cavity).
- Parabond Cold/Whaledent AG
- the flexural modulus has been determined according to ISO4049:2000.
- the hardened composite of example 1 had the following properties:
- Catalyst paste Base paste Fillers Nanoparticles (1) 8.06 7.86 Pyrogenic silicic acid (2) 2.8 2.8 Dental glass ⁇ 0.7 ⁇ m (silanised) 9.7 9.8 Dental glass ⁇ 1.2 ⁇ m (silanised) 9.7 9.8 Dental glass ⁇ 7.0 ⁇ m (silanised) 49.8 50.1 Genioperl ® P22 (Wacker) 4.9 5.0 Monomers: TEGDMA 5.0 4.86 bis-GMA 5.37 5.24 UDMA 4.16 4.04 Initiators: Dibenzoyl peroxide 0.46 — Butylated hydroxytoluene (3) 0.05 — N,N-diethanol-p-toluidine — 0.681 Sum: 100 100.181 (1) Nanocryl D322 (SiO 2 Particles 20 nm), Hanse Chemie AG.
- Nanoparticles are pre-dispersed in TEGDMA and UDMA in the commercially available product Nanocryl D322.
- the nanoparticles of Nanocryl D322 are listed separately in the above table as fillers, while the TEGDMA and UDMA are listed as monomers.
- Aerosil R812S, Degussa Evonik (3) Inhibitor, Stabilizer
- the hardened composite had the following properties:
Landscapes
- Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Plastic & Reconstructive Surgery (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Dental Preparations (AREA)
Abstract
The invention concerns hardenable dental composite materials, comprising i) non-agglomerated nanofillers having particle sizes of about 1 to about 50 nm; and ii) core-shell polymer particles with an elastic core compound, preferably having a modulus of elasticity of less than about 18 MPa, more preferably of less than 14 MPa, most preferably of less than about 10 MPa; and a substantially non-elastic shell compound. The materials have improved properties that allow for advantageous restoration of molar and premolar teeth with the bulk filling technique
Description
- The present invention relates to the technical field of dental restoration, in particular to dental composite materials for bulk fillings.
- In principle, hardening of a dental composite material by polymerization necessarily results in a volume shrinkage. However, extensive volume shrinkage cannot be tolerated with dental fillings since the marginal seal with the tooth has to be assured. Thus, in order to counteract the volume shrinkage of polymerizable dental composite materials upon hardening by polymerization, filling materials are routinely incorporated (such as e.g. dental glass or pyrogenic silicic acid). Such filling materials do not shrink and thus reduce the overall volume shrinkage of the dental composite material.
- A typical approach of reducing shrinkage in polymerizable dental of composite materials is set forth in US 2006/0252845 A1; various other approaches of reducing polymerization shrinkage are discussed therein (e.g., shrinkage forces can be reduced by an incremental filling technique, which method is however time-consuming and uncomfortable for both the patient and the dental practitioner).
- However, these (highly) filled dental composite materials have been found to be not ideally suitable at least for restorations of molar and premolar teeth.
- It is thus an object of the present invention to overcome the above-mentioned drawbacks, especially to provide a dental composite material that is more suitable for dental restoration of molar and premolar teeth.
- A hardenable dental composite material according to the invention comprises:
-
- i) non-agglomerated nanofillers having particle sizes of about 1 to about 50 nm;
- ii) core-shell polymer particles with
- an elastic core compound, preferably having a modulus of elasticity of less than about 18 MPa, more preferably of less than 14 MPa, most preferably of less than about 10 MPa; and
- a substantially non-elastic shell compound.
- It has been found that the minor performance of prior art composite materials in molar and premolar teeth was essentially based on an inappropriate high modulus of elasticity. Thereby, the high force exposure during chewing directly impacted the marginal seal to the (adhesive layer and the) tooth. The presence of fillers (lit. i), above) results in the desired low shrinkage; however, the modulus of elasticity is then typically was raised to than 12 GPa. Any attempt to weaken the impact of the filling material onto the marginal seal under chewing stress must not result in an increase of the volume shrinkage. Towards this end, the filling material according to the invention comprises core-shell particles according to lit. ii), above. It has been surprisingly found that the incorporation of such core-shell particles into filled composite filling materials results in significantly improved performance in premolar and molar teeth.
- Suitable core-shell particles according to lit. ii), above, are known as such and are disclosed e.g. in WO 2005/055961 A1 (incorporated herein by reference with respect to the composition and methods of manufacture of the core-shell polymer particles).
- To the best of applicant's knowledge, core-shell polymer particles according to lit. ii), above, have never been suggested in combination with non-agglomerated nanofillers according to lit. i), above, in order to compensate for the otherwise too high modulus of elasticity in molar and premolar applications.
- The dental composite material preferably has a modulus of elasticity in the hardened state in the range of 6 GPa to 10 GPa, preferably in the range of 7.0 GPa to 9.5 GPa, most preferably in the range of 7.5 GPa to 9.0 GPa.
- Such overall modules of elasticity in the hardened state have been found to be particularly suitable for bulk filling restorations of molar and premolar teeth with compositions according to the present invention.
- Moreover, the dental composite material exhibits a polymerization shrinkage of ≦3.0% by volume, preferably of ≦2.5% by volume, most preferably of ≦2.4% by volume.
- As outlined above, dental composite materials with such low percentages of volume shrinkage upon polymerization were available as such in the prior art, but nevertheless were not ideally suitable for restoration of molar and premolar teeth in the bulk filling technique.
- According to preferred embodiments of the present invention, the core compound of the core-shell polymer particles comprises a material selected from the group consisting of silicone; polyalkyl acrylate, preferably polybutyl acrylate; polybutadiene; styrene butadiene copolymers; and mixtures thereof.
- According to yet further preferred embodiments of the present invention, the shell compound of the core-shell polymer particles comprises a material selected from the group consisting of polyalkyl methacrylate (preferably polymethyl methacrylate), optionally comprising functional groups selected from the group consisting of epoxy, carboxylic acid, amine; copolymers of polyalkyl methacrylate (preferably polymethyl methacrylate) with styrene, optionally comprising functional groups selected from the group consisting of epoxy, carboxylic acid, amine.
- Currently preferred are core-shell particles comprising a polymethyl methacrylate shell and a silicone core, such as commercially available under the trademark GENIOPERL®, e.g. GENIOPERL® P22 (Wacker-Chemie GmbH, WACKER SILICONES, München Del.).
- The core-shell particles are incorporated into the dental composite material at about 0.1% by weight to about 10% by weight, preferably about 1% by weight to about 8% by weight, most preferably about 1% by weight to about 6% by weight of the core-shell polymer particles.
- According to preferred embodiments of the present invention, the composite material comprises a polymerizable matrix of ethylenically unsaturated monomers, preferably selected from the group consisting of 2,2′-bis-[4-(methacryloxypropoxy)phenyl]-propane (bis-GMA); tri-(ethylene glycol) dimethacrylate (TEGDMA); urethane dimethacrylate (UDMA); diethylene glycol di(meth)acrylate; decanediol di(meth)acrylate; trimethylolpropane tri(meth)acrylate; pentaerythrite tetra(meth)acrylate; butanediol di(meth)acrylate; 1,10-decanediol di(meth)acrylate; 1,12-dodecanediol di(meth)acrylate; and mixtures thereof. Currently preferred are mixtures of TEGDMA, bis-GMA and UDMA.
- In principle, the technical effect of the present invention could be used in any curing system known in the art, e.g. in hot polymerization systems, photo polymerization systems and cold/dark polymerization systems. Towards this end, compositions according to the invention may further comprise a polymerization initiator selected from the group consisting of initiators for hot polymerization; photoinitiators; and, preferably, initiators for cold polymerization. Also dual-curing systems may be configured as known in the art.
- Suitable polymerization initiators for any kind of polymerization system are perfectly known to the person of routine skill in the art:
- Peroxides (such as e.g. dibenzoyl peroxide) and α,α′-azo-bis(isobutyroethyl ester) can be used as initiators for hot polymerization.
- Benzoin alkyl ethers/esters or camphorquinone can be used as initiators for photopolymerization, preferably together with a reducing agent such as e.g. an amine.
- Peroxides (such as dibenzoyl peroxide or lauroyl peroxide) may be used together with amines such as e.g. N,N-diethanol-p-toluidine as initiators for cold/dark polymerization.
- As used herein, “cold/dark polymerization” is understood as a polymerization that initiates and proceeds in the absence of light and under normal temperature and pressure (NTP) conditions (101′325 Pa and 20° C.).
- In the context of the present invention, currently preferred non-agglomerated nanofillers according to lit. i), above, are or comprise SiO2, ZrO2, TiO2 or Al2O3, and mixtures thereof. Currently preferred are silica particles predispersed in methacrylates (e.g Nanocryl D322, Hanse Chemie AG). The non-agglomerated nanofillers are preferably present in an amount of about 0% by weight to about 15% by weight, preferably about 1% by weight to about 12% by weight, most preferably about 3% by weight to about 10% by weight, based on the total weight of the dental composite material.
- Preferably the dental composite material is a cold/dark polmyerization material as defined above. The present invention is especially advantageous in the context of such cold/dark polymerization materials: Since these materials are provided as two-component compositions (base paste and catalyst paste) that immediately react upon mixing, these two components need to be sufficiently flowable in order to allow for quick and thorough mixing. In order to achieve a low shrinkage upon curing while at the same time assuring acceptable flowability, the size of the fillers had been chosen relatively big in the prior art. As has now been identified as a problem with bulk fillings especially of molar and premolar teeth, this results in an inappropriate, i.e. a too high module of elasticity. The present invention now overcomes this drawback by providing a composition defined above.
- Yet another aspect of the present invention concerns the use of core-shell polymer particles with
-
- a core compound having a modulus of elasticity of less than about 18 MPa, preferably of less than 14 MPa, most preferably of less than about 10 MPa, and a polymethyl methacrylate shell; and
- a substantially non-elastic shell compound for the manufacture of a composite material as outlined above for dental restorations of molar and premolar teeth.
- It is to be understood that conventional bondings, adhesives and primers may suitably be applied onto/into the prepared tooth prior to filling the tooth with the composite material according to the invention.
- The invention will now be described by means of specific embodiments, without intending to limit the invention to these specific embodiments.
- The following dental composite materials have been prepared (amounts given as weight in [g]) and investigated.
-
-
Catalyst paste Base paste Fillers: Nanoparticles(1) 7.0 7.1 Pyrogenic silicic acid(2) 2.8 2.8 Dental glass Ø0.7 μm (silanised) 10.9 10.9 Dental glass Ø1.2 μm (silanised) 10.9 10.9 Dental glass Ø7.0 μm (silanised) 55.5 55.0 Monomers: TEGDMA 4.33 4.39 bis-GMA 4.64 4.74 UDMA 3.60 3.64 Initiators: Dibenzoyl peroxide 0.4 — Butylated hydroxytoluene(3) 0.05 — N,N-diethanol-p-toluidine — 0.748 Sum: 100.12 100.218 (1)Nanocryl D322 (SiO2 Particles 20 nm), Hanse Chemie AG. The nanoparticles are pre-dispersed in TEGDMA and UDMA in the commercially available product Nanocryl D322. The nanoparticles of Nanocryl D322 are listed separately in the above table as fillers, while the TEGDMA and UDMA are listed as monomers. (2)Aerosil R812S, Degussa Evonik (3)Inhibitor, Stabilizer - The following preparation and test regimen has been used in all examples:
- The catalyst and base paste have been conventionally mixed and the quantitative analysis of the marginal adaptation was determined after a chewing simulation test as outlined in Gbhring et al., American Journal of Dentistry, Vol. 16, No. 4 (2003), p. 275-282 (mixed class II cavity). Parabond (Coltene/Whaledent AG) has been used as a primer/adhesive, according to the manufacturer's instructions. The flexural modulus has been determined according to ISO4049:2000.
- The hardened composite of example 1 had the following properties:
-
Modulus of elasticity Volume shrinkage Continuous margin 16′000 MPa 2.1% 60% -
-
Catalyst paste Base paste Fillers: Nanoparticles(1) 8.06 7.86 Pyrogenic silicic acid(2) 2.8 2.8 Dental glass Ø0.7 μm (silanised) 9.7 9.8 Dental glass Ø1.2 μm (silanised) 9.7 9.8 Dental glass Ø7.0 μm (silanised) 49.8 50.1 Genioperl ® P22 (Wacker) 4.9 5.0 Monomers: TEGDMA 5.0 4.86 bis-GMA 5.37 5.24 UDMA 4.16 4.04 Initiators: Dibenzoyl peroxide 0.46 — Butylated hydroxytoluene(3) 0.05 — N,N-diethanol-p-toluidine — 0.681 Sum: 100 100.181 (1)Nanocryl D322 (SiO2 Particles 20 nm), Hanse Chemie AG. The nanoparticles are pre-dispersed in TEGDMA and UDMA in the commercially available product Nanocryl D322. The nanoparticles of Nanocryl D322 are listed separately in the above table as fillers, while the TEGDMA and UDMA are listed as monomers. (2)Aerosil R812S, Degussa Evonik (3)Inhibitor, Stabilizer - The hardened composite had the following properties:
-
Modulus of elasticity Volume shrinkage Continuous margin 9′000 MPa 2.4% 79% - From a comparison of the results of examples 1 and 2, it is evident that the incorporation of the core-shell particles results in a strikingly reduced modulus of elasticity, thereby rendering the composition suitable for restoring molar and premolar teeth with the bulk filling technique; the volume shrinkage is acceptable, the continuous margin even improved.
Claims (12)
1. Hardenable dental composite material, comprising
i) non-agglomerated nanofillers having particle sizes of about 1 to about 50 nm;
ii) core-shell polymer particles with
an elastic core compound; and
a substantially non-elastic shell compound.
2. Dental composite material according to claim 1 , having a modulus of elasticity in the hardened state in the range of 6 GPa to 10 GPa.
3. Dental composite material according to claim 1 , having a polymerization shrinkage of ≦3.0% by volume.
4. Dental composite material according to claim 1 , wherein the core compound of the core-shell polymer particles comprises a material selected from the group consisting of silicone; polyalkyl acrylate, preferably polybutyl acrylate; polybutadiene; styrene butadiene copolymers; and mixtures thereof.
5. Dental composite material according to claim 1 , wherein the shell compound of the core-shell polymer particles comprises a material selected from the group consisting of polyalkyl methacrylate, optionally comprising functional groups selected from the group consisting of epoxy, carboxylic acid, amine; copolymers of polyalkyl methacrylate with styrene, optionally comprising functional groups selected from the group consisting of epoxy, carboxylic acid, amine.
6. Dental composite material according to claim 1 , comprising about 0.1% by weight to about 10% by weight, of the core-shell polymer particles.
7. Dental composite material according to claim 1 , further comprising ethylenically unsaturated monomers selected from the group consisting of 2,2′-bis-[4-(methacryloxypropoxy)-phenyl]-propane (bis-GMA); tri-(ethylene glycol) di-methacrylate (TEGDMA); urethane dimethacrylate (UDMA); di-ethylene glycol di(meth)acrylate; decanediol di (meth) acrylate; trimethylolpropane tri (meth) acrylate; pentaerythrite tetra (meth) acrylate; butanediol di(meth)acrylate; 1,10-decanediol di (meth)acrylate; 1,12-dodecanediol di(meth)acrylate; and mixtures thereof.
8. Dental composite material according to claim 7 , further comprising a polymerization initiator selected from the group consisting of initiators for hot polymerization; photoinitiators; initiators for cold polymerization.
9. Dental composite material according to claim 1 , wherein the non-agglomerated nanofiller is or comprises SiO2, ZrO2, TiO2 or Al2O3.
10. Dental composite material according to claim 1 , wherein the dental composite material is hardenable at room temperature, ambient pressure and in the dark.
11. Dental composite material according to claim 1 , constituted by mixing a base paste and a catalyst paste.
12. Method of manufacturing of a composite material according to claim 1 , comprising the step of
compounding core-shell polymer particles with
a core compound having a modulus of elasticity of less than about 18 MPa, preferably of less than 14 MPa, most preferably of less than about 10 MPa, and a polymethyl methacrylate shell; and
a substantially non-elastic shell compound with further components of the composite material.
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US12/021,407 US20090192240A1 (en) | 2008-01-29 | 2008-01-29 | Dental composite material |
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US20140131908A1 (en) * | 2012-11-14 | 2014-05-15 | Dentsply International Inc. | Three-dimensional fabricating material systems for producing dental products |
DE102014109233A1 (en) * | 2014-07-01 | 2016-01-07 | Heraeus Kulzer Gmbh | Milling blanks based on polymerized prosthesis material, in particular a polymerized, fracture-resistant prosthesis material, in the form of milling blanks |
DE102014109234A1 (en) * | 2014-07-01 | 2016-01-07 | Heraeus Kulzer Gmbh | Autopolymerizable prosthesis material and polymerized, fracture-resistant prosthesis material with improved color stability |
CN108192299A (en) * | 2018-01-12 | 2018-06-22 | 浙江东太新材料有限公司 | A kind of delustring uvioresistant high-performance PET master batch and preparation method thereof |
CN109453037A (en) * | 2018-11-27 | 2019-03-12 | 吉林省登泰克牙科材料有限公司 | A kind of non-mixing type composition, preparation method and application for dental orthodontic bonding |
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US20050215659A1 (en) * | 2004-02-18 | 2005-09-29 | Heraeus Kulzer Gmbh | Dispersions of nanoscale, non-agglomerated particles for use in dental materials |
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2008
- 2008-01-29 US US12/021,407 patent/US20090192240A1/en not_active Abandoned
Patent Citations (1)
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US20050215659A1 (en) * | 2004-02-18 | 2005-09-29 | Heraeus Kulzer Gmbh | Dispersions of nanoscale, non-agglomerated particles for use in dental materials |
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US20140131908A1 (en) * | 2012-11-14 | 2014-05-15 | Dentsply International Inc. | Three-dimensional fabricating material systems for producing dental products |
DE102014109233A1 (en) * | 2014-07-01 | 2016-01-07 | Heraeus Kulzer Gmbh | Milling blanks based on polymerized prosthesis material, in particular a polymerized, fracture-resistant prosthesis material, in the form of milling blanks |
DE102014109234A1 (en) * | 2014-07-01 | 2016-01-07 | Heraeus Kulzer Gmbh | Autopolymerizable prosthesis material and polymerized, fracture-resistant prosthesis material with improved color stability |
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US10420712B2 (en) | 2014-07-01 | 2019-09-24 | Heraeus Kulzer Gmbh | Mill blanks based on a polymerized, fracture-tough prosthesis material |
US11007302B2 (en) | 2014-07-01 | 2021-05-18 | Kulzer Gmbh | Auto-polymerizable prosthetic material and polymerized, fracture-tough prosthetic material with increased colour stability |
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US20220306856A1 (en) * | 2021-03-26 | 2022-09-29 | Dentca, Inc. | Photo-curable resin compositions containing impact modifier for three dimensional printing and cured dental product made of the same |
US11718744B2 (en) * | 2021-03-26 | 2023-08-08 | Dentca, Inc. | Photo-curable resin compositions containing impact modifier for three dimensional printing and cured dental product made of the same |
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